NPI | 1730792532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 151002) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
106H00000X Marriage & Family Therapist (Licence: CA 129602) | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2024-11-04 |